Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.30 / $6,541.00 / $13,413.92	Facility		$511.30	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.55 / $926.83 / $964.05	Professional		$788.55	$926.83	$964.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.11 / $489.11 / $583.92	Professional		$489.11	$489.11	$583.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $964.05 / $1,349.67	Facility		$178.13	$964.05	$1,349.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.08 / $888.30 / $1,210.00	Professional		$342.08	$888.30	$1,210.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.70 / $729.00 / $1,002.00	Professional		$569.70	$729.00	$1,002.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $964.05 / $1,349.67	Facility		$178.13	$964.05	$1,349.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $670.00 / $1,002.00	Professional		$268.38	$670.00	$1,002.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.22 / $704.73 / $1,520.01	Professional		$450.22	$704.73	$1,520.01